| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.91 | $3.91 | $4.49 | |
Aetna
| Professional | $3.91 | $3.91 | $4.34 | |
BCBS
| Facility | $3,048.61 | $3,699.63 | $4,977.18 | |
BCBS
| Professional | $3.91 | $3.91 | $15.12 | |
Cigna
| Facility | $3.91 | $3.91 | $3.91 | |
Cigna
| Professional | $3.91 | $3.91 | $14.38 | |
United
| Professional | $3.73 | $3.91 | $3.91 |